I am interested in this documentation discussion. When I was designing my
new forms I talked to many people within the OT and PT crowd. The
overwhelming idea among PTs was that OTs tend to be too wordy. "Being wordy"
equated with an increased chance of a reviewer finding some little section
within our ramblings that they could use as a reason to deny a claim. (I
used the word "ramblings"...NOT the PTs.) I see this as a very valid point. 

On the other hand, our type of therapy is more complex (encompasses many
more aspects of a person's life) and by its nature requires more words to
describe. We are involved in quality of life and all the nuances that bring
that quality to our clients. I can read 2 PT reports on 2 different patients
and they will use identical words. Most of the time, the PT performed
exactly the same exercise routine. And that is absolutely appropriate for
physical therapy. 

I have rarely written 2 reports that are identical. I admit that I tend to
be "wordy" but I use my notes to guide my next session. When I am in a hurry
and quickly write a note with only the required parts of the note, I look
back the next week and beat myself up because I don't have enough
information to truly get a picture of what was accomplished and where I
planned to go next. 

I work in low vision rehabilitation right now and one of my mentors told me
that often the largest change from evaluation to discharge is reflected in
the patient's perception of their life with vision loss. We teach clients
all of these skills and how to compensate,  but at the end, it is their
ability to adapt to their current life situation and their satisfaction with
their abilities that determine success or failure. I feel the need to be
"wordy" on my documentation...can you tell that in my rambling here?
Jenny Daup

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